A new way to expose endocervical lesions at colposcopy.
If there are atypical cells on a cytological smear and if the squamo-columnar junction can not be visualized during a colposcopic examination, then in order to exclude an early invasive cancer in the nonvisualized area within the endocervix it is mandatory to perform a diagnostic cone biopsy. A woman with abnormal cervical cytology and an unsatisfactory colposcopic examination who refused a cone biopsy was offered Lamicel in an attempt to expose the entire transformation zone. After 4 hr the sponge was removed and colposcopy repeated. The lesion and the squamo-columnar junction was then fully visible and she was spared a cone biopsy.
Johnson
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Department of Obstetrics and Gynecology, St. James's University Hospital, Leeds, England.
Crompton
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AC
D000328:Adult; D001672:Biocompatible Materials; D002584:Cervix Uteri / Q000473:pathology*; D003127:Colposcopy / Q000379:methods*; D004106:Dilatation / Q000379:methods; D005260:Female; D006801:Humans; D008278:Magnesium Sulfate; D011142:Polyvinyl Alcohol; D002583:Uterine Cervical Neoplasms / Q000473:pathology*
D001672:Biocompatible Materials; C034860:Lamicel; D008278:Magnesium Sulfate; D011142:Polyvinyl Alcohol